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1. (Lilley, Ch. 1) The nurse is
de-veloping a human needs Collection of patient data
state-ment for a patient
who has a new diagnosis of
heart failure. Identification
of human needs statements
occur with which of these
activities?
a. Collection of patient data
b. Administering
interven-tions
c. Deciding on patient
out-comes
d. Documenting the
patient's behavior
2. (Lilley, Ch. 1) The patient is
to receive oral guaifenesin
twice a day. Today, the
nurse was busy and gave
the medication 2 hours Right time
after the scheduled dose
was due. What type of
problem does this
represent?
a. Right time
b. Right dose
c. Right route
d. Right medication
3. (Lilley, Ch. 1) The nurse
has been monitoring the
patient's progress on a new
drug reg-
Evaluation
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imen since the first
dose and documenting
the pa-
tient's therapeutic response
to the medication. Which
phase of the nursing
process do these actions
illustrate?
a. Human needs statement
b. Planning
c. Implementation The patient will demonstrate correct blood glucose testing
d. Evaluation technique.
4. (Lilley, Ch. 1) The nurse is
as-signed to a patient who is
new-ly diagnosed with type
1 di-abetes mellitus. Which
state-ment best illustrates
an out-come criterion for
this pa-tient?
a. The patient will follow
in-structions.
b. The patient will not
experi-ence complications.
c. The patient will adhere to
the new insulin treatment
reg-imen.
d. The patient will demon-
strate correct blood
glucose testing
technique.
5.
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(Lilley, Ch. 1) Which Formulating human needs statements regarding deficient
activity best reflects the
implemen-tation phase of knowledge related to the new treatment regimen
the nursing process for the
patient who is newly
diagnosed with hyper-
tension?
a. Providing education
on keeping a journal of
blood pressure readings
b. Setting goals and
outcome criteria with the
patient's in-put
c. Recording a drug history
regarding OTC meds used
at home
d. Formulating human
needs statements
regarding defi-cient
knowledge related to the
new treatment regimen
6. (Lilley, Ch. 1) The medica-
tion order reads, "Give on-
dansetron 4 mg, 30
minutes before beginning
chemother-apy to prevent
nausea." The nurse notes Contact the prescriber to clarify the route of the medication
that the route is missing ordered.
from the order. What is the
nurse's best action?
a. Give the medication
intra-venously because the
patient
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might vomit.
b. Give the medication
orally because the tablets
are avail-able in 4mg
doses.
c. Contact the prescriber to
clarify the route of the
medica-tion ordered.
d. Hold the medication until
the prescriber returns to
make rounds.
The patient's last meal
7. (Lilley, Ch. 1) When the
nurse considers the timing
of a drug dose, which factor
is appropri-ate to consider
when deciding when to give
a drug?
a. The patient's ability to
swal-low
b. The patient's height
c. The patient's last meal
d. The patient's allergies
8. (Lilley, Ch. 1) The nurse is The patient reports that he uses the herbal product ginkgo
per-forming an assessment
of a newly admitted patient.
Which is an example of
subjective data?
a. Weight 155 pounds
b. Pulse 72 beats/minute
c. The patient reports that
he